| Kep Life Skills | |
|
1518 Walnut St Suite 607 Philadelphia PA 19102-3419 | |
| (267) 702-4537 | |
| Not Available |
| Full Name | Kep Life Skills |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1518 Walnut St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Katrina Pinkney (CEO) |
| Authorized Official Contact | 2677024537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kep Life Skills 2417 Welsh Rd Suite 21-219 Philadelphia PA 19114-2213 Ph: (267) 702-4537 | Kep Life Skills 1518 Walnut St Suite 607 Philadelphia PA 19102-3419 Ph: (267) 702-4537 |
| NPI Number | 1396135257 |
|---|---|
| Provider Enumeration Date | 01/30/2015 |
| Last Update Date | 01/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396135257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | PC007659 (Pennsylvania) | Secondary |
| 101YP2500X | Counselor - Professional | PC007659 (Pennsylvania) | Primary |
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